SPECTRUM THE OTHER CLINIC
NPI 1447893888
Nurse Practitioner in Hattiesburg, MS

Q: What is Spectrum The Other Clinic's NPI number?

The NPI number for Spectrum The Other Clinic is 1447893888. It was assigned to this organization in the NPPES registry on October 17, 2019.

Q: What is Spectrum The Other Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since October 17, 2019

709 HARDY ST, HATTIESBURG, MS 39401(601) 466-9495(601) 469-9965 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2021, Feb 5, 2021, Oct 17, 2019 (3 updates tracked since 2019).

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About Spectrum The Other Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPECTRUM THE OTHER CLINIC (NPI 1447893888) is a healthcare organization registered as a nurse practitioner in Hattiesburg, Mississippi and active in the NPI registry since October 2019. The organization maintains 3 additional practice locations and lists Stacie M Pace, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1447893888

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameSPECTRUM THE OTHER CLINIC

Location Address709 HARDY STHattiesburg, MS 39401-3666

Mailing Address2910 Magnolia PlHattiesburg, MS 39402-2428 · (601) 466-9495 · Fax (601) 469-9965

Phone(601) 466-9495

Fax(601) 469-9965

Organization SubpartNo

Authorized OfficialStacie M PaceOwner/director · (601) 466-9495

Enumeration DateOctober 17, 2019

Last NPPES UpdateApril 6, 20213 updates tracked since enumeration

NPPES CertifiedApril 6, 2021

✔ NPI 1447893888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

709 HARDY ST, Hattiesburg, MS 39401

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Secondary Practice Locations 3

Location 11846 E Innovation Park Dr Ste 100Oro Valley, AZ 85755-1963 · Phone (601) 466-9495 · Fax (601) 469-9965

Location 2530B Harkle Rd Ste 100Santa Fe, NM 87505-4739 · Phone (601) 466-9495 · Fax (601) 469-9965

Location 37901 4th St N Ste 300St Petersburg, FL 33702-4399 · Phone (601) 466-9495 · Fax (601) 469-9965

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACIE PACE AGACNP, AGPCNP

Nurse Practitioner

709 HARDY ST
HATTIESBURG, MS 39401

Forrest County (601) 466-9495

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spectrum The Other Clinic's NPI number?

The NPI number for Spectrum The Other Clinic is 1447893888. It was assigned to this organization in the NPPES registry on October 17, 2019.

Where is Spectrum The Other Clinic located?

Spectrum The Other Clinic is located at 709 Hardy St, Hattiesburg, MS 39401. The listed phone number is (601) 466-9495.

What is Spectrum The Other Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Spectrum The Other Clinic was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.